Active NPI
Yaney Gonzalez, D.M.D
- Dentist
- Jacksonville, FL
National Provider Identifier
1457593840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN17900
- Practice address
- 7030 Normandy Blvd
Jacksonville, FL 32205-6206 - Phone
- (904) 786-5850
- Fax
- (904) 786-3101
- NPI assigned
- Mar 31, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN17900 | FL | Primary |
Addresses
Primary practice location
7030 Normandy Blvd
Jacksonville, FL 32205-6206
Mailing address
9340 W Flagler St
Suite 102
Miami, FL 33174-3440
Phone (786) 281-8177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN17900 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352246400000",
"number": "1457593840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9340 W FLAGLER ST",
"address_2": "SUITE 102",
"city": "MIAMI",
"state": "FL",
"postal_code": "331743440",
"telephone_number": "786-281-8177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7030 NORMANDY BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322056206",
"telephone_number": "904-786-5850",
"fax_number": "904-786-3101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "YANEY",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-31",
"last_updated": "2012-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN17900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.